| NPI | 1568843381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD467975) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT208656) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2022-11-18 |